Jennifer Michelle Decoste, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Durham, North Carolina. Her current practice location is
234 Crooked Creek Pkwy Ste 110, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(859) 200-3726.
Jennifer Michelle Decoste is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518354604.
Physician's Profile
Full Name | Jennifer Michelle Decoste |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 234 Crooked Creek Pkwy Ste 110, Durham, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518354604
- Provider Enumeration Date: 04/16/2015
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517204381
- Enrollment ID: I20190201000525
Medical Identifiers
Medical identifiers for Jennifer Michelle Decoste such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518354604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2018-02052 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Michelle Decoste allows following entities to bill medicare on her behalf.
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
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Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Michelle Decoste is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Michelle Decoste, MD 202 Saint Thomas Dr, Chapel Hill, NC 27517-2304 Ph: (859) 200-3726 | Jennifer Michelle Decoste, MD 234 Crooked Creek Pkwy Ste 110, Durham, NC 27713-8507 Ph: (859) 200-3726 |
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